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"autores" => array:4 [ 0 => array:4 [ "nombre" => "Rasha Isabel" "apellidos" => "Pérez Ajami" "email" => array:1 [ 0 => "rashaperez@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Amalia María" "apellidos" => "García Durán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Matilde" "apellidos" => "Bustillo Alonso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Jesús María" "apellidos" => "Viñuelas Bayón" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Pediatría, Hospital Reina Sofía, Tudela, Navarra, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Enfermedades Infecciosas del Servicio de Pediatría, Hospital Universitario Miguel Servet, Zaragoza, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Grupo de Estudio de Infecciones por Micobacterias (GEIM) de la SEIMC, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Lactante con infección por bacilo Calmette-Guérin" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 392 "Ancho" => 1510 "Tamanyo" => 85729 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Patient admitted at 19 months of age, due to the appearance of a tumour (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, arrow) of probable bone origin with a soft tissue mass at the level of the manubrium of the sternum, of one month’s duration, with no other accompanying symptoms. Full vaccination according to age, including bacille Calmette-Guérin (BCG) vaccine administered in Argentina, country of origin, included in the said vaccination schedule. A chest magnetic resonance imaging (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B and C, arrows) showed a focal destructive lesion in the body of the sternum with intrathoracic extension, affecting the anterior mediastinum. The lesion was punctured and purulent material was obtained with positive PCR for <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> complex and negative HIV serology. Anti-tuberculosis treatment was started. Growth of <span class="elsevierStyleItalic">Mycobacterium bovis</span> BCG variety was confirmed in the abscess culture, and the patient was referred to the Immunohematology department for an immunodeficiency study (immunity and genetics), which showed no abnormalities.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">BCG infection after vaccination should be considered as an immunological disorder, characterised by alterations of the IL-12/IFN gamma axis. However, disseminated mycobacterial infections have also been reported in patients without well-defined immunodeficiency. Therefore, all these patients should be immunologically assessed, even if the diagnosis is inconclusive in half of the cases.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Informed consent was obtained for the publication of this article.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have not received funding for this article.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 392 "Ancho" => 1510 "Tamanyo" => 85729 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000016200000011/v1_202406091353/S2387020624001967/v1_202406091353/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000016200000011/v1_202406091353/S2387020624001967/v1_202406091353/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020624001967?idApp=UINPBA00004N" ]
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